Prior Auth Required

90626 - DOSAGE, FOR INTRAMUSCULAR USE

This procedure appears on the selected insurer prior authorization source.

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Prior authorizationPrior Auth Required
Procedure / ServiceDOSAGE, FOR INTRAMUSCULAR USE
Procedure / Service Description

Potential spinnbarkeit test - Pharmacy TICK-BORNE ENCEPHALITIS VIRUS VACCINE, INACTIVATED; 0.25 ML 90626 DOSAGE, FOR INTRAMUSCULAR USE Pharmacy TICK-BORNE ENCEPHALITIS VIRUS VACCINE, INACTIVATED; 0.5 ML

Likely documents
  • Confirm benefit details
  • Submit clinical notes if requested by the plan
Next actions
  • Confirm the current plan policy before submission.
  • Use the insurer authorization workflow for this listed code.